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For example, older people (because absorption declines with age) and those with gut-related conditions such as celiac disease and Crohns disease may struggle to absorb enough vitamin B12 to stave off symptoms of a deficiency, says Foxx

In general, some people at risk of deficiency include those who have had intestinal surgery, including weight loss surgery, diseases that affect the gut, such as Crohns disease or celiac disease, and older people who eventually lose the ability to absorb vitamin B12

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The medicine may be offered if the patient has a risk factor for vitamin B12 deficiency, such as: Pernicious anaemia